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Putting on weight. Type 2.

fifi20

Member
Messages
6
Type of diabetes
Type 2
Treatment type
Insulin
I'm diabetic type 2 for 14 years. I since been on insulin in May this year before then i was only on tablets but my sugars were very high my old doctor did not help me, now moved to new doctors they helping me alot. How can i put so much weight on when i'm cutting down what i eat?!
Eating more fruit and veg and cutting down on my portions sizes but yet again can insulin cause weight gain but by how much? nothing i can do about it....
I've put on a stone and half on since then my nurse told me to get more active which i was till a month ago pains in my legs and my feet going numb now my hands are starting going numb. I did tell my doctor about gave me back painkillers nothing wrong with back so i went back and told him it's not getting better now going for a blood test next week.:(
 
I'm diabetic type 2 for 14 years. I since been on insulin in May this year before then i was only on tablets but my sugars were very high my old doctor did not help me, now moved to new doctors they helping me alot. How can i put so much weight on when i'm cutting down what i eat?!
Eating more fruit and veg and cutting down on my portions sizes but yet again can insulin cause weight gain but by how much? nothing i can do about it....
I've put on a stone and half on since then my nurse told me to get more active which i was till a month ago pains in my legs and my feet going numb now my hands are starting going numb. I did tell my doctor about gave me back painkillers nothing wrong with back so i went back and told him it's not getting better now going for a blood test next week.:(

In addition to your insulin, do you take any other medication, and if so, has anything changed in that (ignoring the change to insulin) in the recent past?
 
I'm diabetic type 2 for 14 years. I since been on insulin in May this year before then i was only on tablets but my sugars were very high my old doctor did not help me, now moved to new doctors they helping me alot. How can i put so much weight on when i'm cutting down what i eat?!
Eating more fruit and veg and cutting down on my portions sizes but yet again can insulin cause weight gain but by how much? nothing i can do about it....
I've put on a stone and half on since then my nurse told me to get more active which i was till a month ago pains in my legs and my feet going numb now my hands are starting going numb. I did tell my doctor about gave me back painkillers nothing wrong with back so i went back and told him it's not getting better now going for a blood test next week.:(
Hi and welcome to the forum. I will tag @daisy1 who has some info she posts for newbies.

In that info you will read about reducing your starchy carbohydrate (carb) intake - bread, potatoes, pasta, rice, cereals and porridge are often the main culprits in high blood glucose (BG) and needing insulin. Many of us don't eat them at all, or only in tiny amounts. It is possible that if you reduce your carbs low enough for long enough you might no longer need insulin.

Insulin can cause weight gain if it is given in a set dose that doesn't take into account what you are eating at each meal. T1s usually take two types - long and short acting - and they calculate a dose of short acting insulin for each meal, based on their BG reading at that time, and the amount of carbs they are about to eat. This is called basal/bolus with carb counting, and it can stop the weight gain you might experience with the usual insulin regime prescribed to T2s. Hopefully your doctor will understand how this works if you want to ask about changing your regime.

There is further info about this approach for T2s here:
http://www.phlaunt.com/diabetes/15478720.php

Do you have a glucose meter and test strips? You should have been given one since you are on insulin, but one never knows these days. Increasing your BG testing can help you with reducing carbs.

Regardless of your insulin regime or anything else, if you can start reducing carbs and maybe adding in a little bit of full fat options instead of low fat, that will probably help lower your BGs within a few weeks. But please ensure your insulin does not cause hypos... you would need to be testing and if needed, reducing your insulin, probably in consultation with your doctor. They might not like the idea of low carbing, but it is becoming mainstream. It was even recommended in the Daily Mail this week.
 
I'm diabetic type 2 for 14 years. I since been on insulin in May this year before then i was only on tablets but my sugars were very high my old doctor did not help me, now moved to new doctors they helping me alot. How can i put so much weight on when i'm cutting down what i eat?!
Eating more fruit and veg and cutting down on my portions sizes but yet again can insulin cause weight gain but by how much? nothing i can do about it....
I've put on a stone and half on since then my nurse told me to get more active which i was till a month ago pains in my legs and my feet going numb now my hands are starting going numb. I did tell my doctor about gave me back painkillers nothing wrong with back so i went back and told him it's not getting better now going for a blood test next week.:(
I just noticed you are on linagliptin. I first thought your leg pain might be due to high BGs, but it's also possible it's a side effect of this med, particularly if it is in your joints. I suggest you see your doctor about it. You might want to ask him if you really need this med along with the insulin? Please don't stop taking any drug or insulin without consulting your doctor first though.

There is info about this here:
http://www.diabetes.co.uk/forum/thr...ould-cause-severe-joint-pain-warns-fda.83647/

It's common for doctors to underestimate the risk of side effects and not tell patients about them before starting a new drug. It's logical to use drugs like this to treat diabetes, and he was probably doing his best with what he knew at the time. There are a lot of things for them to keep up to date with and not much time to do it.
 
@fifi20

Hello fifi and welcome to the forum :) Here is the information we give to new members and I hope you will find it helpful. It will give you a lot of information about carbs which will help with both your weight and your levels. Ask more questions if you need to and someone will be able to help.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Thank you for the replys. Firstly my sugars were high as 35.0 and low as 15.6 for 14 years now till now low as 5.9 and high as 15. I'm on metformin modified release 500mg two twice a day, linagliptin 5mg one a day simvastatin 40mg one a day and Humulin M3 kwikpen 42/36 twice a day last of all mirtazapine 30mg one a day.
I feel fat ugly feeling uncomfortable my confidence in things has gone with NHS and I am seeing the nurse everyweek at the moment. feeling so fed up now I know i seem to be moaning I have no one to talk to so I'm sorry. :(:inpain: I have one wish that I can loose weight. There's one thing I tried all diets. when I was pregnant with my 2nd baby she was 10lb 10oz 16 years ago ever since then my life change.
Again sorry for this :(
 
Thank you for the replys. Firstly my sugars were high as 35.0 and low as 15.6 for 14 years now till now low as 5.9 and high as 15. I'm on metformin modified release 500mg two twice a day, linagliptin 5mg one a day simvastatin 40mg one a day and Humulin M3 kwikpen 42/36 twice a day last of all mirtazapine 30mg one a day.
I feel fat ugly feeling uncomfortable my confidence in things has gone with NHS and I am seeing the nurse everyweek at the moment. feeling so fed up now I know i seem to be moaning I have no one to talk to so I'm sorry. :(:inpain: I have one wish that I can loose weight. There's one thing I tried all diets. when I was pregnant with my 2nd baby she was 10lb 10oz 16 years ago ever since then my life change.
Again sorry for this :(
No need to apologise, we're here to help. Hugs.

How long have you been taking Mirtazapine? I used to take it, and it made me gain weight, and my doctor said it can often do this. There may be alternative your doctor could try, but please keep taking all medications until you discuss things with your doctor.
 
In addition to your insulin, do you take any other medication, and if so, has anything changed in that (ignoring the change to insulin) in the recent past?


Fifi - It sounds like you have a fair bit going on, with your medication cocktails. I agree that it could be useful to have a review with your GP or pharmacist. In my experience, pharmacists often have a more in depth insight into the specific drugs and their interactions, so could be worth a chat? And often they're easier to see than a GP.

I know you've said you're cutting down on what you eat, in an effort to control your weight, and hopefully lose. That's all excellent, but I've found that what I eat is at least as important as how much I eat, with some foods impacting more significantly on both bloods and weight. I appreciate I am not taking any medication, so I am different in so many respects from you.

If you could share a brief summary of the sorts of things you're having through the day it could be useful. And, with your current insulin doses, do you have a target level of carbohydrates in order to balance it out, or is it calculated on a general basis?

Sorry to ask so many questions.
 
No need to apologise, we're here to help. Hugs.

How long have you been taking Mirtazapine? I used to take it, and it made me gain weight, and my doctor said it can often do this. There may be alternative your doctor could try, but please keep taking all medications until you discuss things with your doctor.
I've been on Mirtazapine for two years now my weight has been fine just little over weight.
 
Fifi - It sounds like you have a fair bit going on, with your medication cocktails. I agree that it could be useful to have a review with your GP or pharmacist. In my experience, pharmacists often have a more in depth insight into the specific drugs and their interactions, so could be worth a chat? And often they're easier to see than a GP.

I know you've said you're cutting down on what you eat, in an effort to control your weight, and hopefully lose. That's all excellent, but I've found that what I eat is at least as important as how much I eat, with some foods impacting more significantly on both bloods and weight. I appreciate I am not taking any medication, so I am different in so many respects from you.

If you could share a brief summary of the sorts of things you're having through the day it could be useful. And, with your current insulin doses, do you have a target level of carbohydrates in order to balance it out, or is it calculated on a general basis?

Sorry to ask so many questions.
Hi I've been having porridge with blueberries for breakfast for lunch it could be scrambled egg or small salad and for dinner chicken with veg or chilli or pork and veg some times i may have small portion of chips as a treat. I also do have a very sweet tooth hope this helps
 
Hi I've been having porridge with blueberries for breakfast for lunch it could be scrambled egg or small salad and for dinner chicken with veg or chilli or pork and veg some times i may have small portion of chips as a treat. I also do have a very sweet tooth hope this helps

From what you eat, what makes your bloods go highest? That's usually where I would advise trimming, rather than counting calories.
 
I've been on Mirtazapine for two years now my weight has been fine just little over weight.
Ok then it's not likely to be the mirtazapine causing the recent weight gain. It's a process of ruling out each possible cause until you figure out the cause. Keep in touch, I'm sure together we can get to the bottom of it. Hugs.
 
Hi I've been having porridge with blueberries for breakfast for lunch it could be scrambled egg or small salad and for dinner chicken with veg or chilli or pork and veg some times i may have small portion of chips as a treat. I also do have a very sweet tooth hope this helps
Your food does not sound to bad but you say you have a sweet tooth so are you still eating sugar stuff as that could influence your weight gain
 
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